Sought out for its scenic views of the Blue Ridge Mountains, outstanding fishing at Smith Mountain Lake and the Upper James River Water Trail and one-of-a-kind shops and boutiques, Roanoke is a charming city for retirement living. It’s home to nearly 100,000 residents, about 16,000 of whom are aged 65 and over. While many come for its recreational amenities, the city also supports easy access to healthcare services. Carilion Roanoke Memorial Hospital is rated among the top hospitals in the country and provides a broad range of general and specialty services, including cardiovascular care, diabetic care and gastroenterology. Following hospitalization, many seniors reside in a nursing home before transitioning back to their home environment. Roanoke is a cost-effective option for this type of care. The Genworth 2020 Cost of Care Survey discloses that local facilities charge $7,513 for this level of care, which is lower than state and national medians. 

Nursing homes are residential facilities staffed by licensed healthcare professionals. They offer meals, personal care and around-the-clock medical support and monitoring, along with physical, occupational and speech therapy as needed. This high level of care is costly, but fortunately, affordable alternatives are available. Seniors who only need personal care services or a limited scope of skilled nursing may obtain the care they need in assisted living or via home-based care.  

This guide provides more information on nursing home placement in Roanoke, including a cost analysis and a list of resources available to seniors with extensive care needs. 

Directory of Nursing Homes in Roanoke, VA

Friendship Health and Rehab Center

327 Hershberger Rd Nw, Roanoke, VA, 24012

The staff at Friendship Health North Campus was friendly, answered our questions, and seemed to interact with residents very well. The facility was clean and their accommodations were pretty common as … (read more)
The staff at Friendship Health North Campus was friendly, answered our questions, and seemed to interact with residents very well. The facility was clean and their accommodations were pretty common as … (read more)

Virginia Veterans Care Center

4550 SHENANDOAH AVE N W, Roanoke, VA, 24017

My husband is currently at the Virginia Veterans Care Center. They’ve done a very good job with him, and they’re doing regular, weekly COVID testing, and they’ve been very diligent in keeping that out … (read more)
My husband is currently at the Virginia Veterans Care Center. They’ve done a very good job with him, and they’re doing regular, weekly COVID testing, and they’ve been very diligent in keeping that out … (read more)

Raleigh Court Hlth Care Cntr

1527 GRANDIN ROAD SOUTHWEST, Roanoke, VA, 24015

My mother-in-law has been in the rehab program for over one month. The care has been very good especially the OT/PT professionals. The food is good as I have eaten dinner with my mother-in-law many … (read more)
My mother-in-law has been in the rehab program for over one month. The care has been very good especially the OT/PT professionals. The food is good as I have eaten dinner with my mother-in-law many … (read more)

Friendship Health And Rehab Center South

5647 Starkey Road, Roanoke, VA, 24018

My sister-in-law is in Friendship Health-South. The appearance is excellent, it’s relatively new, very clean, and very nice. I think they’re treating her very well. They’ve got a good and very friendl … (read more)
My sister-in-law is in Friendship Health-South. The appearance is excellent, it’s relatively new, very clean, and very nice. I think they’re treating her very well. They’ve got a good and very friendl … (read more)

2013

Our Lady of the Valley

650 NORTH JEFFERSON STREET, Roanoke, VA, 24016

Our Lady of the Valley, located in Roanoke, Virginia, is a beautiful assisted living facility rooted in a faith-based philosophy offering compassion and care. Rooms are spacious, clean, remodeled and … (read more)
Our Lady of the Valley, located in Roanoke, Virginia, is a beautiful assisted living facility rooted in a faith-based philosophy offering compassion and care. Rooms are spacious, clean, remodeled and … (read more)

Springtree Healthcare & Rehab Center

3433 SPRINGTREE DRIVE, Roanoke, VA, 24012

This is a great place to put your loved ones who you never want to speak to again. It’s nearly impossible to get a hold of patients. After trying at least once every two weeks I still haven’t talk … (read more)
This is a great place to put your loved ones who you never want to speak to again. It’s nearly impossible to get a hold of patients. After trying at least once every two weeks I still haven’t talk … (read more)

Brandon Oaks Nursing and Rehabilitation Center

3837 Brandon Avenue, Roanoke, VA, 24018

I was interested in Brandon Oaks Nursing and Rehabilitation Center, but they have a long waiting list. I had several friends that were residents there and I thought they were great. I really liked the … (read more)
I was interested in Brandon Oaks Nursing and Rehabilitation Center, but they have a long waiting list. I had several friends that were residents there and I thought they were great. I really liked the … (read more)

South Roanoke Nursing Home

3823 FRANKLIN RD, SW, Roanoke, VA, 24014

I went to South Roanoke Nursing Home Inc. I liked it very well. It’s very personable. The administrator is wonderful. She knows every single patient there. She is the most caring individual I’ve ever … (read more)
I went to South Roanoke Nursing Home Inc. I liked it very well. It’s very personable. The administrator is wonderful. She knows every single patient there. She is the most caring individual I’ve ever … (read more)

Friendship Retirement Community

367 Hershberger Road, Roanoke, VA, 24012


Pheasant Ridge Nursing & Rehab Center

4355 PHEASANT RIDGE ROAD, SW, Roanoke, VA, 24014

This is the worse place possible to send someone. My Family member was there for rehabilitation and they did not do much rehab with her. She was there for 11 days and was never given a bath. The … (read more)
This is the worse place possible to send someone. My Family member was there for rehabilitation and they did not do much rehab with her. She was there for 11 days and was never given a bath. The … (read more)

Heritage Hall Nursing Home /NA

3131 Electric Rd, Roanoke, VA, 24018

This nursing home has horrible guidelines for all areas of care. Nursing skills are lacking. My sister could not breathe and was chocking and gasping for air. Her vital signs were not taken, her lung … (read more)
This nursing home has horrible guidelines for all areas of care. Nursing skills are lacking. My sister could not breathe and was chocking and gasping for air. Her vital signs were not taken, her lung … (read more)

Avante at Roanoke

324 KING GEORGE AVE SW, Roanoke, VA, 24016


Berkshire Health & Rehabilitation Center

705 CLEARVIEW DRIVE, Vinton, VA, 24179

I just took my husband for respite care at Berkshire Health & Rehabilitation Center for one week. They have physical therapy available there. Some rooms are private and some are semi-private. It w … (read more)
I just took my husband for respite care at Berkshire Health & Rehabilitation Center for one week. They have physical therapy available there. Some rooms are private and some are semi-private. It w … (read more)

Salem Health & Rehabilitation

1945 ROANOKE BLVD, Salem, VA, 24153

The nurses at Salem Health & Rehabilitation Center are excellent. They’ll help you with anything, and you don’t have any problems getting one of them to come. I think the food is pretty good too. … (read more)
The nurses at Salem Health & Rehabilitation Center are excellent. They’ll help you with anything, and you don’t have any problems getting one of them to come. I think the food is pretty good too. … (read more)

Snyder Nursing Home

11 NORTH BROAD ST, Salem, VA, 24153

My daughter worked at Snyders Nursing Home; she was always gushing about the wonderful patients at this facility. She worked closely with all of the administration and nursing staff. She found them … (read more)
My daughter worked at Snyders Nursing Home; she was always gushing about the wonderful patients at this facility. She worked closely with all of the administration and nursing staff. She found them … (read more)

Nursing Home Costs in Roanoke, Virginia

Semiprivate rooms in Roanoke nursing homes cost $7,513 per month. Seniors who reside in private rooms pay a higher monthly rate of $8,760.  

The Cost of Nursing Home Care in Nearby Cities

Nursing home care in Roanoke costs approximately $7,513 per month for semiprivate accommodations. This is about $150 lower than the state median of $7,665 and almost $250 lower than the national monthly rate of $7,756. 

Nursing home costs vary considerably across Virginia depending on location. Lynchburg is the cheapest option in the state for this level of care at $6,644 per month. In Charlottesville, which is about 120 miles to the northeast of Roanoke, nursing homes charge $7,452. The state capital of Richmond is an expensive option at $9,064, and Winchester has the highest rates in the state at $9,566.   

$7513

Roanoke

$7665

Virginia

$7756

The United States

$6644

Lynchburg

$9064

Richmond

$9566

Winchester

$7452

Charlottesville

The Cost of Other Types of Senior Care

Nursing homes charge the highest senior care fees in Roanoke, with residents paying $7,513 per month for shared rooms and $8,760 for private rooms. Fortunately, there are more affordable options, especially for those who don’t need 24-hour medical monitoring. Seniors who want to live in their own homes may be good candidates for home health care, which includes some skilled nursing services, for $4,385 per month. Home care features personal care and housekeeping without specialized services and is cheaper at $4,338. Assisted living costs $4,492 per month, and adult day health care is the cheapest option at $1,603.   

$4338

Home care

$4385

Home health care

$1603

Adult day health care

$4492

Assisted living

$7513

Nursing home (semiprivate room)

$8760

Nursing home (private room)

Financial Assistance for Nursing Home Care in Roanoke, Virginia

Many seniors and their families use some form of financial assistance to help them pay for nursing care. The main options available are Medicare, Medicaid, and veterans benefits. These programs can be complicated, especially when it comes to benefit terms. Below, we give a brief overview of how these programs may be used towards paying for skilled nursing care.

  • Medicare: Medicare will typically cover all skilled nursing costs for the first 20 days of one’s stay in a nursing home and a portion of the costs until day 100. After 100 days in a skilled nursing facility, Medicare will not cover any part of the cost of the stay. While this is adequate when short-term care is needed, those in need of long-term care will need to either pay out-of-pocket or use another source of financial assistance.
  • Medicaid: Medicaid covers most of the costs of living in a skilled nursing facility for those who qualify. Care, room, and board are covered with no time limit, but residents may be charged for extras like specially prepared food or cosmetic services. Medicaid eligibility standards are strict and complex, so not all seniors are eligible for Medicaid benefits.
  • Veterans Benefits: Veterans receiving a VA pension may also be eligible for the Aid and Attendance benefit administered by the VA. Aid and Attendance is a monthly allowance that beneficiaries may use to pay for their long-term care, including skilled nursing care.

If these options aren’t available to you, check if your loved one has long-term care insurance or contact your Area Agency on Aging to ask about any local financial assistance programs for seniors.

Free Resources for Seniors in Roanoke, Virginia

Roanoke is home to several nonprofit agencies and programs that help seniors obtain the best care for their needs. The following resources provide benefits and level of care screening services, health insurance options counseling and advocacy services. They may also help seniors obtain the care they need in the community and avoid or shorten the duration of nursing home placement.  

Resource Contact Service 
Local Office on Aging (540) 345-0451 The Local Office on Aging administers the region’s Meals on Wheels program for older adults unable to prepare meals themselves, and it has a medical equipment loan closet stocked with donated equipment. It works with local agencies to provide services, such as access to food and clothing, utilities and housing assistance, medication assistance and disaster planning, which may enable older adults to delay or avoid nursing home placement. It also has a long-term care ombudsman that advocates on behalf of nursing home residents.
VA Roanoke Regional Office (800) 698-2411 Veterans access benefits assistance through the VA Roanoke Regional Office, which provides in-person and over-the-phone assistance. Through this office, veterans get help with obtaining necessary documentation and discharge upgrades, determining the state and federal benefits they qualify for and applying for benefits. Specialists can help veterans enroll in pension programs and the Aid and Attendance Benefit, which can help cover nursing home and medical expenses.  
Roanoke City Health Department | Long Term Care Pre-Admission Screenings (804) 367-2100 The city’s Health Department administers a range of community outreach services, including long-term care preadmission screenings. Through this service, those who qualify for Medicare or Medicaid are screened to determine whether they qualify to have nursing home expenses covered under Medicaid.  
Legal Aid Society of Roanoke Valley (540) 344-2080 Legal Aid Society of Roanoke Valley is a nonprofit organization that provides free legal services to those aged 60 and over. Its legal professionals help seniors resolve issues, such as problems with a nursing home’s intake or discharge procedures, billing errors and noncompliance with federal requirements for quality of care.